History A 65-year-old man presented with increasing edema of his lower extremities. Prior to this incident, in a routine medical check-up two years ago, it was revealed that the patient had: A medical history of hypertension and hyperlipidemia, which was treated with olmesartan medoxomil, amlodipine, and pravastatin sodium The patient had a mild cerebral infarction. The patient had exacerbated general edema, and pleural effusion appeared.
Reports after physical examination Blood pressure: 162/92 mmHg Pulse rate: 80 beats/min Articular disorder Positive Barré’s sign Laboratory results Proteinuria of 14.3 g/day and 23.8 red blood cells/high-power field with hyaline casts were noted. Serum creatinine: 138 mmol/dL Blood urea nitrogen: 7.4 mmol/L Total protein: 43 g/L Albumin: 19 g/L Estimated glomerular filtration rate (eGFR): 36.0 ml/min/1.73 m 2 Severe hypokalemia (2.43 mmol/L) under…
